Office visit, new patient, 45-59 min in Tennessee
What Tennessee hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
354
Neg. median
$143.82
Min
$56.79
Max
$253.8
Cash median
$87.42
Across 15 Tennessee hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $56.79 to $253.8, with a median of $143.82. The interquartile range is $121.65 to $177.77. Cash-pay patients typically pay $87.42; gross charges median $276.
By payer in Tennessee
Top 30 payers for Office visit, new patient, 45-59 min in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 12 | 33 | $118.41 |
| Blue Cross Blue Shield | 12 | 33 | $125.25 |
| UnitedHealthcare | 5 | 41 | $141 |
| Cigna | 5 | 53 | $165 |
| community plan | 4 | 4 | $65.21 |
| Ambetter | 4 | 7 | $169.2 |
| novanet | 3 | 6 | $208.88 |
| correctional medical services | 3 | 6 | $167.1 |
| direct care america | 3 | 6 | $222.8 |
| national provider network | 3 | 6 | $222.8 |
| initial group | 3 | 6 | $245.08 |
| community services network | 3 | 6 | $181.03 |
| medsave usa | 3 | 6 | $222.8 |
| beech street | 3 | 6 | $236.73 |
| galaxy health network | 3 | 6 | $250.65 |
| usa managed care organization | 3 | 6 | $194.95 |
| ccn managed care | 3 | 6 | $236.73 |
| ehn | 3 | 6 | $125.33 |
| Medicare | 2 | 4 | $121.65 |
| Humana | 2 | 2 | $122.11 |
| va hospital [600005] | 1 | 1 | $121.65 |
| WellCare | 1 | 1 | $122.56 |
| american health advantage mcr adv [450117] | 1 | 1 | $121.65 |
| amerigroup | 1 | 1 | $107.24 |
| amerivantage | 1 | 1 | $107.24 |
| blue | 1 | 1 | $122.56 |
| bluecare | 1 | 1 | $69.58 |
| carecentrix [450200] | 1 | 1 | $121.65 |
| corecivic | 1 | 1 | $134.82 |
| corizon | 1 | 1 | $80.15 |
Hospital comparison — Office visit, new patient, 45-59 min in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Saint Thomas Stones River Hospital | Woodbury | $105.09 | — | — |
| St Thomas Dekalb Hospital | Smithville | $114.78 | — | — |
| Saint Thomas Midtown Hospital | Nashville | $118.41 | — | — |
| Saint Thomas West Hospital | Nashville | $118.41 | — | — |
| Saint Thomas Highland Hospital | Sparta | $118.41 | — | — |
| Saint Thomas Rutherford Hospital | Murfreesboro | $118.41 | — | — |
| St Thomas Hickman Hospital | Centerville | $118.41 | — | — |
| Ascension St Thomas River Park | Mcminnville | $121.37 | — | — |
| Methodist H/C Memphis Hospt. | Memphis | $121.65 | $74.58 | $339 |
| Metro Nashville General Hospital | Nashville | $122.56 | $117.9 | $196.5 |
| Morristown-Hamblen Hospital | Morristown | $169.85 | $85.56 | $276 |
| Roane County Medical Center | Harriman | $169.85 | $85.56 | $276 |
| Fort Loudoun Medical Center | Lenoir City | $169.85 | $88.32 | $276 |
| Big South Fork Medical Center | Oneida | — | $18.9 | $63 |
| St Thomas Ascension | Nashville | — | $399.31 | $1,616.62 |